This is the baseline Hologic left hip scan.
This is the follow up Hologic left hip scan 2 years later. There is a large increase at the femoral neck and no significant change a the total hip
The baseline single energy view demonstrates the position of the panniculus.
The follow-up single energy view demonstrates that the panniculus is in a different position on the follow-up scan.
Case Description:
This is patient is 61″ tall and weight 273 pounds, with BMI = 51.8. The interval change was discordant between the total hip and femoral neck after 2 years. There was not a significant change at the total hip using the facility 95% confidence interval. There is a 21% increase at the femoral neck, which was a significant increase. The position of the panniculus was different between the two scans, and the position of the panniculus is documented on the single energy images. It is important to have a standard operating procedure which recommends that the patient should retract their panniculus at each scan, making the position of the panniculus consistent.
Credit:
Sarah L Morgan, MD, RD, CCD, The University of Alabama at Birmingham
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